Hospital Costs > In Tennessee > Saint Francis Bartlett Medical Center, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 95 | 421 / 33 | $80.078,50 | 2435 / 81 | $11.752,10 | 881 / 68 | $10.029,80 | 879 / 64 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 74 | 201 / 21 | $36.869,00 | 2400 / 71 | $5.321,97 | 693 / 63 | $3.564,66 | 689 / 45 |
Simple Pneumonia & Pleurisy W Cc | 67 | 136 / 23 | $53.335,20 | 2614 / 82 | $6.230,91 | 1104 / 68 | $5.157,16 | 1100 / 66 |
Simple Pneumonia & Pleurisy W Mcc | 60 | 145 / 23 | $72.778,10 | 2268 / 71 | $8.868,67 | 1004 / 55 | $7.877,47 | 1004 / 57 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 56 | 508 / 37 | $68.628,80 | 1953 / 47 | $12.956,00 | 745 / 31 | $10.690,30 | 735 / 40 |
Chronic Obstructive Pulmonary Disease W Mcc | 52 | 150 / 26 | $48.083,20 | 2137 / 72 | $7.387,90 | 507 / 61 | $5.785,17 | 506 / 38 |
Cellulitis W/O Mcc | 51 | 138 / 16 | $33.920,40 | 2268 / 72 | $5.438,45 | 904 / 55 | $4.204,63 | 898 / 54 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 51 | 115 / 12 | $30.182,50 | 2145 / 72 | $4.662,43 | 989 / 57 | $3.645,06 | 986 / 58 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 44 | 76 / 11 | $32.730,30 | 1787 / 66 | $4.641,43 | 722 / 48 | $3.508,00 | 720 / 48 |
Kidney & Urinary Tract Infections W/O Mcc | 42 | 191 / 37 | $32.700,10 | 2301 / 81 | $4.945,83 | 929 / 66 | $3.905,10 | 922 / 62 |
Heart Failure & Shock W Cc | 41 | 237 / 33 | $40.361,20 | 2336 / 74 | $6.121,73 | 1038 / 52 | $5.316,07 | 1036 / 59 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 36 | 125 / 19 | $39.481,30 | 1896 / 49 | $5.001,17 | 975 / 35 | $4.262,50 | 972 / 40 |
Red Blood Cell Disorders W/O Mcc | 35 | 108 / 9 | $33.581,60 | 1631 / 44 | $5.066,00 | 747 / 31 | $4.237,66 | 742 / 37 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 34 | 173 / 28 | $47.738,00 | 2215 / 63 | $7.241,35 | 758 / 55 | $5.445,26 | 756 / 47 |
G.I. Hemorrhage W Cc | 33 | 185 / 30 | $37.552,80 | 1880 / 51 | $6.284,97 | 800 / 47 | $5.181,06 | 798 / 46 |
Renal Failure W Cc | 32 | 189 / 34 | $39.374,20 | 2024 / 66 | $6.082,06 | 623 / 52 | $4.857,25 | 617 / 47 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 32 | 156 / 23 | $53.178,80 | 1275 / 35 | $7.112,78 | 434 / 28 | $5.344,88 | 432 / 23 |
Heart Failure & Shock W Mcc | 31 | 253 / 36 | $80.343,70 | 2452 / 78 | $8.956,29 | 937 / 61 | $8.201,68 | 936 / 60 |
Transient Ischemia | 28 | 97 / 18 | $31.621,40 | 1229 / 29 | $4.750,14 | 415 / 23 | $3.283,61 | 414 / 18 |
Chest Pain | 27 | 124 / 17 | $30.184,80 | 1394 / 39 | $4.160,44 | 473 / 31 | $2.900,22 | 471 / 27 |
Hip & Femur Procedures Except Major Joint W Cc | 27 | 116 / 24 | $71.039,00 | 1564 / 40 | $12.185,00 | 332 / 40 | $9.797,52 | 331 / 29 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 27 | 37 / 6 | $356.306,00 | 395 / 16 | $60.993,00 | 178 / 12 | $57.368,80 | 178 / 14 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 26 | 67 / 16 | $34.428,90 | 1719 / 57 | $4.484,96 | 964 / 37 | $3.645,58 | 959 / 46 |
Renal Failure W Mcc | 23 | 172 / 37 | $63.554,00 | 1804 / 58 | $9.262,61 | 799 / 44 | $8.538,78 | 799 / 46 |
Diabetes W Cc | 22 | 70 / 13 | $30.354,70 | 1184 / 33 | $5.575,59 | 213 / 29 | $3.859,73 | 213 / 14 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 20 | 130 / 25 | $27.093,30 | 1685 / 44 | $4.316,10 | 374 / 38 | $2.333,00 | 371 / 19 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 19 | 107 / 19 | $36.666,20 | 1217 / 37 | $6.760,26 | 398 / 25 | $5.871,00 | 395 / 23 |
Syncope & Collapse | 19 | 150 / 28 | $35.621,20 | 1602 / 44 | $5.046,68 | 543 / 37 | $3.588,68 | 540 / 30 |
Amputat Of Lower Limb For Endocrine,Nutrit,& Metabol Dis W Cc | 19 | 11 / 2 | $62.068,50 | 132 / 8 | $12.284,70 | 29 / 5 | $9.720,58 | 29 / 4 |
Chronic Obstructive Pulmonary Disease W Cc | 19 | 160 / 39 | $50.373,20 | 2247 / 70 | $5.806,21 | 696 / 54 | $4.724,95 | 694 / 49 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 18 | 53 / 15 | $188.056,00 | 706 / 27 | $29.193,20 | 241 / 15 | $28.389,60 | 241 / 18 |
Kidney & Urinary Tract Infections W Mcc | 18 | 126 / 31 | $56.447,50 | 1766 / 57 | $6.956,89 | 920 / 46 | $6.252,89 | 917 / 47 |
Major Small & Large Bowel Procedures W Cc | 17 | 91 / 18 | $111.511,00 | 1303 / 30 | $15.771,10 | 306 / 23 | $12.891,20 | 304 / 17 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 17 | 179 / 28 | $99.176,80 | 1146 / 32 | $11.594,80 | 335 / 8 | $10.240,90 | 335 / 23 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 17 | 114 / 29 | $100.055,00 | 1519 / 44 | $14.638,90 | 137 / 32 | $11.356,30 | 137 / 14 |
Medical Back Problems W/O Mcc | 16 | 105 / 19 | $30.625,60 | 1033 / 29 | $5.221,50 | 511 / 21 | $4.239,50 | 509 / 25 |
Signs & Symptoms W/O Mcc | 15 | 76 / 16 | $34.952,50 | 1130 / 31 | $4.799,53 | 409 / 26 | $3.539,13 | 408 / 24 |
Other Vascular Procedures W Cc | 15 | 87 / 14 | $69.750,70 | 514 / 16 | $14.166,70 | 70 / 7 | $12.531,80 | 70 / 6 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 14 | 78 / 17 | $217.361,00 | 805 / 20 | $37.973,80 | 206 / 18 | $31.862,80 | 206 / 10 |
Seizures W/O Mcc | 14 | 94 / 15 | $37.866,60 | 1101 / 26 | $4.842,57 | 452 / 10 | $3.980,86 | 450 / 16 |
Red Blood Cell Disorders W Mcc | 14 | 57 / 12 | $48.924,40 | 815 / 22 | $7.490,21 | 327 / 13 | $6.882,21 | 325 / 15 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 14 | 168 / 35 | $46.352,70 | 1660 / 43 | $7.351,79 | 677 / 40 | $5.411,64 | 676 / 37 |
G.I. Obstruction W Cc | 14 | 78 / 20 | $39.144,90 | 1440 / 38 | $5.541,86 | 525 / 26 | $4.508,71 | 524 / 26 |
G.I. Obstruction W/O Cc/Mcc | 14 | 57 / 15 | $33.927,50 | 1169 / 27 | $4.023,43 | 450 / 11 | $2.898,86 | 449 / 15 |
Respiratory Infections & Inflammations W Mcc | 13 | 123 / 26 | $66.174,50 | 1359 / 41 | $11.521,00 | 621 / 34 | $10.725,90 | 613 / 35 |
Nonspecific Cerebrovascular Disorders W Cc | 13 | 43 / 14 | $43.189,80 | 386 / 19 | $6.513,31 | 38 / 17 | $4.472,77 | 38 / 8 |
Fractures Of Hip & Pelvis W/O Mcc | 13 | 48 / 11 | $26.012,80 | 673 / 24 | $4.585,46 | 382 / 20 | $3.659,92 | 383 / 21 |
Heart Failure & Shock W/O Cc/Mcc | 12 | 98 / 28 | $29.199,80 | 1692 / 47 | $4.382,83 | 702 / 38 | $3.473,50 | 698 / 34 |
Other Vascular Procedures W Mcc | 12 | 85 / 14 | $76.408,10 | 334 / 11 | $17.764,10 | 137 / 7 | $17.358,80 | 137 / 11 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 12 | 111 / 29 | $56.894,10 | 1642 / 42 | $7.289,92 | 385 / 25 | $6.180,58 | 383 / 23 |
Hypertension W/O Mcc | 11 | 54 / 14 | $50.552,60 | 772 / 23 | $5.202,36 | 124 / 21 | $2.730,18 | 124 / 8 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 11 | 91 / 23 | $33.762,70 | 1210 / 29 | $4.845,45 | 703 / 16 | $3.859,27 | 699 / 24 | Total 52 procedures | 1.456 | discharges |
Source: Medicare Provider Utilization and Payment Data: Inpatient for FY2014
Average Covered Charges: The provider's average charge for services covered by Medicare for all discharges in the MS-DRG. These will vary from hospital to hospital because of differences in hospital charge structures.
Average Total Payments: The average total payments to all providers for the MS-DRG including the MSDRG amount, teaching, disproportionate share, capital, and outlier payments for all cases. Also included in average total payments are co-payment and deductible amounts that the patient is responsible for and any additional payments by third parties for coordination of benefits.
Average Medicare Payments: The average amount that Medicare pays to the provider for Medicare's share of the MS-DRG. Average Medicare payment amounts include the MS-DRG amount, teaching, disproportionate share, capital, and outlier payments for all cases. Medicare payments DO NOT include beneficiary co-payments and deductible amounts nor any additional payments from third parties for coordination of benefits. Note: In general, Medicare FFS claims with dates-of-service or dates-of-discharge on or after April 1, 2013, incurred a 2 percent reduction in Medicare payment. This is in response to mandatory across-the-board reductions in Federal spending, also known as sequestration
Hospital Rank: We have calculated the rank for each procedure within a hospital. The left number is the national ranking, the right one is the state ranking. For discharges, ranking is from highest # of discharges to lower (hospital with highest number of discharges ranks first). For charges and payments, lowest means a higher ranking.